| NPI | 1992019103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTUR GUZHAGIN Manager 612-353-6776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MN 4819) |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2010-07-29 |